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Dose-Response Study of Recombinant Factor VIII Manufactured Protein-Free (rAHF-PFM) in Patients With Hemophilia A
This study has been completed.
Study NCT00289536   Information provided by Baxter Healthcare Corporation
First Received: February 9, 2006   Last Updated: July 24, 2008   History of Changes

February 9, 2006
July 24, 2008
January 2006
 
Initial recovery (per-cent increase in IU/dL per IU/kg infused at 30 minutes post-infusion) [ Time Frame: 30 minutes post-infusion ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00289536 on ClinicalTrials.gov Archive Site
 
 
 
Dose-Response Study of Recombinant Factor VIII Manufactured Protein-Free (rAHF-PFM) in Patients With Hemophilia A
Advate Antihemophilic Factor (Recombinant), Plasma/Albumin-Free Method (ADVATE rAHF-PFM): A Phase 4 Study to Determine the Pharmacokinetic Response of Patients Diagnosed With Severe Hemophilia A to Different Doses of ADVATE rAHF-PFM

The purpose of this study is to determine the effect of 3 doses of ADVATE rAHF-PFM on initial recovery (% increase [IU/dL] per IU/kg infused) and major single-infusion pharmacokinetic parameters. The 3 doses are 15, 30, and 50 IU/kg. Prior to each infusion, subjects will not have received treatment with a factor VIII concentrate for at least 3 days. Blood samples will be drawn within 30 minutes pre-infusion and at 0.25, 0.5, 1, 3, 6, 9, 24, 28, 32 and 48 hours post-infusion. A washout period of at least 3 days, but no more than 30 days between the last blood draw and the next infusion will be observed. During participation, subjects will maintain their preexisting treatment regimens with ADVATE rAHF-PFM or other factor VIII concentrate.

A secondary objective is to investigate the relationship between pharmacokinetic parameters at each dose level and the levels of von Willebrand factor ristocetin cofactor activity and von Willebrand factor antigen at baseline.

 
Phase IV
Interventional
Treatment, Randomized, Open Label, Dose Comparison, Crossover Assignment, Pharmacokinetics Study
Hemophilia A
Drug: Antihemophilic factor, recombinant, manufactured protein-free
  • Active Comparator: Dose of 15 IU/kg
  • Active Comparator: Dose of 30 IU/kg
  • Active Comparator: Dose of 50 IU/kg
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
25
June 2008
 

Inclusion Criteria:

  • The subject has severe hemophilia A as defined by a baseline factor VIII activity <1% of normal; tested at screening. (A minimum washout period of 5 days is required before the blood sample can be drawn to determine baseline factor VIII levels.)
  • The subject has a documented history of at least 150 exposure days to factor VIII concentrates (either plasma-derived or recombinant).
  • The subject is within 12 to 65 years of age.
  • The subject has a Karnofsky performance score >60.
  • The subject is human immunodeficiency virus negative (HIV-) or HIV+ with CD4 count >=400 cells/mm3 (CD4 count determined at screening, if necessary).
  • The subject or subject´s legally authorized representative has provided written informed consent.

Exclusion Criteria:

  • The subject has a known hypersensitivity to mouse or hamster proteins or to factor VIII concentrates.
  • The subject has a history of factor VIII inhibitors with titer >=0.8 BU (Bethesda Assay) or >=0.4 BU (Nijmegen modification of the Bethesda Assay) any time prior to screening.
  • The subject has a detectable factor VIII inhibitor at screening, >=0.4 BU (Nijmegen modification of the Bethesda Assay), in the Baxter central laboratory.
  • The subject has severe chronic liver disease as evidenced by, but not limited to, any of the following: International Normalized Ratio (INR) >1.4, hypoalbuminemia, portal vein hypertension including presence of otherwise unexplained splenomegaly and history of esophageal varices.
  • The subject has been diagnosed with an inherited or acquired hemostatic defect other than hemophilia A (e.g. qualitative platelet defect or von Willebrand´s Disease).
  • The subject has participated in another investigational study within 30 days of enrollment.
  • The subject´s clinical condition may require a major or moderate surgery (estimated blood loss >500 mL) during the period of participation in the study.
Both
12 Years to 65 Years
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00289536
Jorge Escobar, Clinical Project Manager, Baxter Healthcare Corporation
060403
Baxter Healthcare Corporation
 
Principal Investigator: Deborah Brown, MD The University of Texas Health Science Center, Houston
Principal Investigator: Ralph Gruppo, MD Cincinnati Children´s Hospital Medical Center
Principal Investigator: Michael Tarantino, MD Comprehensive Bleeding Disorders Center
Principal Investigator: Jorge Di Paola, MD University of Iowa
Principal Investigator: Claire Philipp, MD University of Medicine & Dentistry of NJ, Robert Wood Johnson Medical School
Principal Investigator: Kapil Saxena, MD University of Oklahoma HSC
Principal Investigator: Doris V Quon, MD Los Angeles Orthopaedic Hospital
Principal Investigator: Kimo Stine, MD Arkansas Children´s Hospital
Baxter Healthcare Corporation
July 2008

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